Staging / Classification

Today the accepted staging for breast cancer is the TNM classification which takes into consideration the tumor itself, the involvement of the lymph nodes and the metastasis to other body parts. The mode of treatment best

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suited for each patient and the prognosis is closely linked to the stage of the tumor.

STAGE 0: In Situ ("in place") disease in which the cancerous cells are in their original location within normal breast tissue

STAGE I: Tumor that is less than 2 cm in diameter with no spread beyond the breast

STAGE II: Tumor that is 2 to 5 cm in size without spread to lymph nodes of axilla or tumor less than 2 cm in size with spread to axillary lymph nodes

STAGE III: Tumor that is smaller than 5 cm in size with spread to axillary lymph nodes which are attached to each other or to other structures

STAGE IV: A tumor that is of any size, which spread beyond the region of the breast and chest wall, such as to liver, bone, or lungs

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Saying incidence of breast cancer [or any disease] is high in western world is meaningless. In India, we do not have proper statistics in any hospital. We do not have well established Biostatistics dept in any of our hospitals/universities. Moreover, we do not have any proper centralized system of collecting such data as they have in the US as NIH. Apart from this, still more than 65% of our population are in rural areas where basic treatment itself is at stake. So, we do not have any rights whatsoever to comment on the western world.BenedictPaulC Thursday, May 3, 2012

I agree.I have been conducting training programmes for women on early detction of breast cancer.Main focus has been breast sed to about 9000 women over the past 3 years.If there is nothing much we can do for prevention then early detection has to be the main focus.dr.anita khokhar.M.D.dr.anita Sunday, September 20, 2009

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